CONJUGATES OF THERAPEUTIC OR CYTOTOXIC AGENTS AND BIOLOGICALLY ACTIVE PEPTIDES

Abstract

ABSTRACT 2152/CHENP/2004 "Conjugates of therapeutic or cytotoxic agents and biologically active peptides The present invention relates to a conjugate compound represented by the following formula: wherein the substituent are as herein described.

Full Text

Field of the Invention
The invention relates to conjugates of therapeutic or cytotoxic agents and biologically active peptides and uses therof
Background of the Invention
The use of carbamate compounds as prodrugs is well known. Carbamate compounds are well suited for prodrug design because they can be used to regenerate the parent drug whether the point of connection to a vector molecule is a hydroxyl group or an amine. Carbamate prodrugs based on intramolecular cyclizations have been reported since the late 1980s. For example, U.S. Patent No. 4 812,590 (which corresponds to EP 0 296 811) discloses derivatives of 4-hydroxyanisole carbamate as prodrugs for the delivery and concentration of 4-hydroxyanisole in melanomas. Vigroux et al. (J. Med. Chem. 38,3983-3994,1995) disclose prodrugs of acetaminophen which incorporate N'-(substituted 2-hydroxyphenyl)- and iV-(substituted 2-hydroxypropyl)carbamates.
An optimal prodrug design is one in which the drug is conjugated to a biologically active vector such that the conjugate is completely stable in circulation, but releases the therapeutic agent cleanly when internalized into target cells. Various types of linker technologies attempt to achieve this goal by different chemical means. Two types of biodegradation phenomena, passive hydrolysis and enzymatic hydrolysis, are typically considered. Passive hydrolysis occurs when the molecule degrades by simple chemical decomposition; esters, carbonates, amides and urethanes are all susceptible to varying degrees of hydrolysis with the following order of stability at basic pH: urethanes > amides> carbonates > esters. Enzymatic hydrolysis occurs in plasma circulation as well as upon internalization. If the desired result is to transport the conjugate to the target cell, it is desirable that the conjugate be very resistant to plasma enzymes that could degrade the complex en route. Commonly used ester derivatives are a particularly poor choice of linker because peripherally circulating compound is rapidly attacked by ubiquitous esterases.
Another linker strategy capitalizes on pH differences existing between the inside and outside of cells. Lysosomes, which are responsible for degrading molecules within cells, have a pH of 4-6, while plasma and extracellular fluid has a pH of 7.4. A linker that is designed to degrade at pH 5, but is stable at pH 7, may be useful for delivering

the conjugate to cells, assuming that the conjugate does not undergo passive or enzymatic hydrolysis in plasma. However, this linker strategy is not optimal for peptide conjugates because most of the work-up and purification of synthetic peptides is done in acidic media.
Still other chemical linkers attempt to capitalize on specific enzymes found in lysosomes. For example, many peptide sequences are stable in plasma but are specifically cleaved by lysosomal enzymes.
The toxic side effects of many of these therapies, as well as standard treatments of neoplastic disease, effectively limit the amount of active agent that may be administered to a patient. Additionally, many active agents cause organ-specific toxicities, further limiting the dose that may be delivered to the target tissue. For instance, the cardiotoxicity of many anthracycline family members reduces the maximum therapeutic dose available for this group of chemotherapeutic agents. Targeted drug delivery of various therapeutic agents can lower toxicity in normal tissue and increase the efficacy of treatment by allowing concentrated localized effects on specific tissues.
Somatostatin, bombesin, and other biologically active peptide analogs have been used to detect tumor cells that overexpress receptors specific for these peptides (see, e.g., Denzler and Reubi, Cancer 85(1):188-198, 1999). Moreover, somatostatin, bombesin and many other biologically active peptide agonist analogs are rapidly internalized after binding to their receptors (see, e.g., Lukinius et al. Acta One. 38:383-387,1999). This internalization of the peptide analogs may result in translocation to the cell nucleus (Chen et al.. Am. J. Physiol. Renal Physiol., 279: F440-F448, 2000).
Somatostatin analogs bind specific somatostatin receptor subtypes that are present on the surface of specific normal or diseased tissues. Somatostatin receptors are up-regulated in specific diseased tissues, including inflammatory bowel diseases, rheumatoid arthritis, and a variety of tumor types, as well as blood vessels supplying many tumors (Denzler and Reubi, Cancer, 85:4188-198,1999). Similarly, receptors specific for another biologically active peptide. Substance P, can be up-regulated in various diseases.
At least five somatostatin receptors subtypes have been characterized, and tumors can express various receptor subtypes. (Shaer, et al.. Int. J. Cancer 70:530-537, 1997). Naturally occurring somatostatin and its analogs exhibit differential binding to

these receptor subtypes, allowing precise targeting of a peptide analog to specific diseased tissues.
The physical and chemical properties of many cytotoxic agents make drug conjugation to biologically active peptides, such as somatostatin and bombesin, problematic. For example, the drug may reduce the specificity of binding or the biological activity of the peptide analog, limiting its effectiveness as a targeting agent. Additionally, therapeutic and cytotoxic agents may have chemical properties that promote accumulation of drug-peptide analogs in certain organs, increasing toxicity and reducing efficacy. Effective means to link cytotoxic agents to a targeting agent such as a biologically active peptide or an antibody, while retaining the activity of each component are needed to maximize therapeutic effects, while minimizing toxicity.
Summarv of the Invention
The invention features conjugates of a therapeutic agent or a cytotoxic agent and a targeting moiety. In particular, the invention features conjugates having a cleavable chemical linker which reduces the release of therapeutic or cytotoxic agent in circulation, thereby rendering the active agent component of the conjugate more readily internalized by a cell, and more readily subject to active control of release rate inside the cell.
Accordingly, in one aspect, the present invention features biologically active peptides conjugated to chemical compounds through a carbamate linkage. Conjugates of the present invention provide numerous advantages, such as retention of the biological activity of the peptide, enhanced stability of the conjugate in plasma, and intracellular release of the attached compound. Preferred peptides for use with conjugates of the invention include somatostatin, somatostatin analogs, bombesin, bombesin analogs, KiSS peptides and analogs, urotensin II peptides and analogs, GnRH I and II peptides and analogs, octreotide, depreotide, vapreotide, vasoactive intestinal peptide (VIP), cholecystokinin (CCK), insulin-like growth factor (IGF), RGD-containing peptides, melanocyte-stimulating hormone (MSH) peptide, neurotensin, calcitonin, peptides from complementarity determining regions of an antitumor antibody, glutathione, YIGSR (leukocyte-avid peptides, e.g., P483H, which contain the heparin-binding region of platelet factor-4 (PF-4) and a lysine-rich sequence), atrial natriuretic peptide (ANP), p-amyloid peptides, delta-opioid antagonists (e.g..

['2'I]ITIPP(psi) [H-Tyr(3'I)-Ticpsi[CH2NH]Phe-Phe-OH]; ITIPP(psi)), annexin-V, endothelin, interleuking (IL)-l, IL-lra, IL-2, and IL-8, leukotriene B4 (LTB4), chemotactic peptides (e.g., N-formyl-methionyl-leucyl-phenylalanine-Iysine (fMLFK)), GP Ilb/IIIa receptor antagonists (e.g., DMP444), epidermal growth factor, human neutrophil elastase inhibitor (e.g., EPI-HNE-2 and EPI-HNE-4), plasmin inhibitor, antimocrobial peptides, apticide (e.g., P280 and P274), thrombospondin receptor (including analogs such as TP-1300), bitistatin, pituitary adenylyl cyclase type I receptor (PACl), fibrin a-chain, and derivatives and analogs thereof. Also included are peptides derived from a phage display library, and conservative substitutions thereof, that are targeted to a cell or tissue in the body of a mammal (e.g., diseased tissue, such as a tumor or a proliferative angiogenic blood vessel; see, e.g., Aina et al., Biopolymers 66:184-199, 2002). Such peptides are useful for specifically targeting therapeutic agents and cytotoxic agents to a cell, such as a cancer cell, or to a tissue in the body of a mammal (e.g., the delivery of anti-apoptotic drugs to cardiac or brain tissue), or to selectively target white blood cells or tubercles infected with tuberculosis. For example, when somatostatin or bombesin is used as the biologically active peptide in a conjugate of the invention, the therapeutic or cytotoxic agent may be targeted to a cancer cell that expresses a somatostatin receptor or a bombesin receptor. The invention also features antibodies (e.g., a monoclonal antibody) or a fragment thereof, that can be linked to the conjugate of the invention. As discussed above with respect to peptides, when an antibody is incorporated in a conjugate of the invention, the therapeutic or cytotoxic agent may be targeted to specific antibody binding sites.
Conjugates of the first aspect of the invention have the following general formula:

,(CH2)n O
wherein
X is a cytotoxic agent or therapeutic agent;

n is an integer from 0 to 6, wherein (CH2)n is substituted or un substituted, a straight or branched chain, or is an alkyl, alkenyl, alkynyl, cyclic, heterocyclic, aromatic, or heteroaromatic group;
R is N(RiR2), ORi, or SR1 where R1and R2 are, independently, hydrogen or a lower alkyl group;
Y is an hydrophilic spacer sequence, or is omitted;
Z is a linking peptide, or is omitted; and
Q, when present, is a targeting moiety.
In this and the other aspects of the invention, the alkyl group preferably contains 1-8 carbon atoms; the alkenyl group preferably contains 1-X carbon atoms; the alkynyl group contains 1-X carbon atoms; the cyclic group contains... A second aspect of the invention features a conjugate having the formula:

wherein
X is a cytotoxic agent or therapeutic agent;
n is an integer from 0 to 6, wherein (CH2)n is substituted or unsubstituted, a straight or branched chain, or is an alkyl, alkenyl, alkynyl, cyclic, heterocyclic, aromatic, or heteroaromatic group;
R is N(RiR2), OR1, or SR1 where R1 and R2 are, independently, hydrogen or a lower alkyl group, and wherein R3 is a NH(CH2)mSH group (where m = 2 to 6), a D or L cysteine, a benzophenone (e.g., p-benzoyl-phenylalanine), or an OH group. A conjugate compound having this formula can be used to link to a peptide, protein, or antibody through the thiol, carboxylate, or photoactive benzophenone containing R3 group. In addition, a peptide or protein can be easily prepared by synthesizing the peptide or protein directly onto the compound. For example, the compound can be provided such that the R group is a tBoc protected primary or secondary amino group, and can be added to the peptidyl resin as described in the examples provided below.

Peptides, proteins, and antibodies can also be attached to the compound through the use of known thiol-reactive chemical reactions when the R3 group contains a thiol group, or by a photoreactive reaction when R3 contains a benzophenone moiety (see, e.g., Greg T. Hermanson, "Bioconjugate Techniques" p. 146-152, 1996).
In preferred embodiments of all aspects of the invention, X is a cytotoxic agent selected from camptothecin, homocamptothecin, colchicine, combretastatin, dolistatin, doxorubicin, methotrexate, podophyllotoxin, rhizoxin, rhizoxin D, a taxol, paclitaxol, CC1065, or a maytansinoid and derivatives and analogs thereof. For example, the cytotoxic agent camptothecin is linked through its single free hydroxyl group to a carbamate linker. In these embodiments of the invention, n is preferably 2 and R is preferably NH2.
Y is an hydrophilic spacer sequence that may be, preferably, a peptide that increases the biodistribution of the conjugate, or a hydrophilic polymer. For example, Y may be a peptide sequence that increases the hydrophilic biodistribution of the biologically active peptide conjugate. In a preferred embodiment, Y has the formula U(V-V)n, wherein U is D-Pro, L-Pro, D-4-OH-Pro, L-4-OH-Pro, Sarcosine, Lys, Om, Dab, Dap, 4-NH2-Phe, or (NH2-(CH2)m-COOH), where m=2-10, inclusive, or is deleted; each V is independently selected from the group consisting of: D-Ser, L-Ser, D-Thr, L-Thr, D-Gln, L-Gln, D-Asn, L-Asn, D-4-OH-Pro, or L-4 hydroxy-Pro; and n=l-50, inclusive. In another preferred embodiment, each V is independently D-Ser or L-Ser. In another preferred embodiment, at least one V is a D-amino acid.

10), Nle-D-Tyr-D-Ser (SEQ ID NO: 11), Lys-D-Tyr-D-Ser (SEQ ID NO: 12), Pal-D-Lys-D-Ser (SEQ ID NO: 13), Thr-D-Tyr-D-Ser (SEQ ID NO: 14), D-Ser-D-Lys, D-Ser-D-Tyr, D-Lys-D-Lys, D-Lys-D-Tyr, or D-Tyr-D-Lys.
Q is a targeting moiety, such as a biologically active peptide or phage derived peptides. In preferred embodiments, Q is a peptide, such as somatostatin, a somatostatin analog, bombesin, a bombesin analog, or an antibody, such as a monoclonal antibody. Preferred biologically active peptide or targeting moieties are internalized by select cells via an active internalization process, such as when binding to a G-protein coupled receptor or somatostatin type 2 receptors (SSTR2).
Another aspect of the invention features a method for the treatment of a disease or modification of a biological function. The method includes administering to a warm¬blooded animal in need thereof, e.g., a human, a therapeutically effective or biological function modifying amount of a conjugate of the invention. One of skill in the art will recognize that the particular conjugate used will depend on the disease state to be treated or the biological system to be modified. In particular, one skilled in the art will be able to select a particular targeting moiety and cytotoxic or therapeutic agent to prepare a conjugate of the invention which has specificity for the treatment of the disease or is able to modify the biological function desired. In preferred embodiments, the disease is a tumor of the lung, breast, brain, eye, prostate or colon or a tumor of neuroendocrine origin (e.g., carcinoid syndrome). The disease is also a condition that results from or causes proliferation of angiogenic blood vessels.
By "administration" or "administering" is meant a method of giving a dosage of a pharmaceutical composition to a mammal, where the method is, e.g., topical, oral, intravenous, intraperitoneal, or intramuscular. The preferred method of administration can vary depending on various factors, e.g., the components of the pharmaceutical composition, site of the potential or actual disease and severity of disease.
In the generic descriptions of compounds of this invention, the number of atoms of a particular type in a substituent group is generally given as a range. For example, an alkyl group containing from 1 to 8 carbon atoms or Ci.8 alkyl. Reference to such a range is intended to include specific references to groups having each of the integer number of atoms within the specified range. For example, an alkyl group from 1 to 8 carbon atoms includes each of C1, C2, C3, C4, C5, C6.C7, and C8 A C1-8 heteroalkyl, for

example, includes from 1 to 8 carbon atoms in addition to one or more heteroatoms. Other numbers of atoms and other types of atoms may be indicated in a similar manner.
As used herein, "alkyl", is intended to include aliphatic branched or straight chain hydrocarbon group and combinations thereof An alkyl is optionally substituted with one or more substituents which may be the same or different. An alkyl group contains 1 to 20 carbon atoms, preferably 1 to 8 carbon atoms. Examples include methyl, ethyl, n-propyl, n-butyl, isobutyl, sec-butyl, tert-butyl, pentyl, isoamyl, hexyl, octyl and the like. By "lower alkyl" is meant a branched or straight chain alkyl group having fewer than 11 carbon atoms, preferably a Ci-Cg alkyl. By "lower alkylamide" is meant a lower alkyl group as described above substituted with one or more amide-containing groups. As used herein, the terms "alkyl" and the prefix "alk-" can also refer to cyclic groups, i.e., cycloalkyl and cycloalkenyl groups. Cyclic groups can be monocyclic or polycyclic and preferably have from 3 to 8 ring carbon atoms, inclusive.
The term "alkenyl", alone or in combination, means a straight-chain or branched-chain hydrocarbon having one or more double bonds and containing fi"om 2 to 20 carbon atoms, preferably from 2 to about 8 carbon atoms. The term "alkynl", alone or in combination, means a straight-chain or branched-chain hydrocarbon having one or more triple bonds and containing from 2 to about 20 carbon atoms, preferably from 2 to 8 carbon atoms.
By "heteroalkyl" is meant a branched or unbranched group in which one or more methylenes (-CH2-) are replaced by nitrogen, oxygen, sulfur, carbonyl, thiocarbonyl, phosphoryl, sulfonyl, or NR, where R is an alkyl. Some examples include tertiary amines, ethers, thioethers, amides, thioamides, carbamates, thiocarbamates, phosphoramidates, sulfonamides, and disulfides. A heteroalkyl may optionally include monocyclic, bicyclic, or tricyclic rings, in which each ring desirably has three to six members. The heteroalkyl group may be substituted or unsubstituted.
By "analog" is meant a molecule that differs from, but is structurally, functionally, and/or chemically related to the reference molecule. The analog may retain the essential properties, functions, or structures of the reference molecule. Most preferably, the analog retains at least one biological function of the reference molecule. Generally, differences are limited so that the structure or sequence of the reference molecule and the analog are similar overall. A peptide analog and its reference peptide may differ in amino acid sequence by one or more substitutions, additions, and/or

deletions, in any combination. A substituted or inserted amino acid residue may or may not be one encoded by the genetic code of the peptide analog. An analog of a peptide or polypeptide may be naturally occurring, such as an allelic variant, or it may be a variant that is not known to occur naturally. Non-naturally occurring analogs of peptides may be made by direct synthesis, by modification, or by mutagenesis techniques.
By "biologically-active peptide" is meant any naturally occurring, modified, or synthetic peptide that is involved in a biological process or function. Examples of biologically active peptides include, but are not limited to: hormones, growth factors, neurotransmitters, antigens, antibodies, or fragments thereof
The term "bombesin peptide" is meant bombesin, or an analog thereof, having at least one biological activity of native bombesin; preferably, this activity is the ability to specifically bind to one or all of the three known bombesin receptor subtypes on a bombesin receptor-bearing cell. Bombesin analogs include, but are not limited to, peptides selected fi"om the group containing the octapeptide G-Trp-H-I-His-J-K-NHV (SEQ ID NO: 15), wherein G is Gin, Asn, Nle, or Nva; H is Ava, Gly, Leu, Val, lie, Nle, or Nva; I is P-Ala, 4-aminobutyric acid, Gly, Ala, D-AIa, N-Me-AIa, or N-Me-D-Ala; J is Phe, Tyr, 4-Cloro-Phe, 4-Fluoro-Phe, 4-Bromo-Phe, 4-N02-Phe, Ala, Gly, Leu, Val, He, Nle, or Nva; K is Met, Phe, Tyr, 4-Cloro-Phe, 4-Fluoro-Phe, 4-Bromo-Phe, 4-NO2-Phe, Ala, Gly, Leu, Val, He, Nle, or Nva; and N represents an amide or a N-alkylamide and V is H or a lower alkylamide.
By "cyclic" is meant a hydrocarbon group having from 3 to 10 carbons and more preferably from 3 to 6 carbons.
By "cytotoxic agent" is meant any naturally-occurring, modified, or synthetic compound that is toxic to tumor cells. Such agents are useful in the treatment of neoplasms, as well as inflammatory diseases, autoimmune disorders, and in the treatment of other symptoms or diseases characterized by cell proliferation or a hyperactive cell population. Cytotoxic agents include, but are not limited to, alkylating agents, antibiotics, antimetabolites, tubulin inhibitors, topoisomerase I and II inhibitors, hormonal agonists or antagonists, or immunomodulators. Cytotoxic agents may be cytotoxic when activated by light or infi-ared (Photofrin, IR dyes; Nat. Biotechnol. 19(4):327-331, 2001), may operate through other mechanistic pathways, or be supplementary potentiating agents.

By "hydrophilic biodistribution" is meant the affinity of the peptide agents of the invention for the bodily fluids of a subject administered the peptide agents (e.g., blood, cerebrospinal fluid, urine, or other bodily fluids), such that the peptide agents distribute throughout the body of the subject, but are rapidly secreted in the urine via the kidney, while avoiding uptake by peripheral organs such as liver, gall bladder, and kidney proximal tubules.
By "hydrophilic polymer" is meant a naturally-occurring or synthetic water-soluble polymer optionally modified that alters the biodistribution of a peptide agent of the invention. Examples of such polymers include, but are not limited to poly(ethylene glycol) (PEG), poly(vinyl alcohol) (PVA), polyvinyl acetate, dextran, hydroxyelthyl starch, gelatin, PVP, PHPMA, a, P-poly[N(2-hydroxyethyl)-DL-aspartamide (PHEA), polysuccinamide (PSI), a, p-poly(N-hydroxypropyl)-DL-aspartamide, etc. These polymers may be modified by, for example, succinylation (negative charge), partial hydrolysis of PSI (carboxylic groups), or reaction with compounds to add amino- or carboxyl- containing groups, etc. Such optional modifications may increase or change the hydrophilicity of the polymer, or enable coupling to the peptide or cytotoxic or therapeutic agent of the invention. Such polymers and modifications are known in the art and are described in, for example, Yamoaka et al., J. Pharmacol. Sci. 83:601-606, 1994; Rypacek et al., Pflugers Arch. 392:211-217,1982; Yamoaka et al., J. Pharm. Pharmacol. 47:479-486,1995; Francesco, Bioconjugate Chemistry 9(4):418-450,1998; Duncan and Spreafico, Clin. Pharmacokinet. 27(4):290-306,1994; each of which is hereby incorporated by reference in its entirety.
By "hydrophilic spacer sequence" is meant an hydrophilic peptide or hydrophilic polymer that increases biodistribution of a compound of the invention, such as by inhibiting peripheral accumulation and/or promoting renal clearance. Examples of hydrophilic spacer sequences for use with the present invention are provided herein.
By "peptide" is meant any polypeptide, peptide (including cyclic or branched peptides), or protein comprising two or more amino acids joined to each other by peptide bonds or modified peptide bonds. As used herein, peptide refers to short chains, commonly referred to as peptides, oligopeptides or oligomers, and to longer chains, up to about 100 residues in length. Peptides may contain amino acids other than the 20 gene-encoded amino acids, and linkages other than peptide bonds. Peptides include amino acid sequences modified either by natural processes, or by chemical modification

techniques that are well known in the art. Modifications may occur anywhere in a polypeptide, including the peptide backbone, the amino acid side-chains, and the amino or carboxyl termini.
The notations used herein for the peptide amino acid residues are those abbreviations commonly used in the art. The less common abbreviations Abu, Ava, P-Ala, hSer, Nle, Nva, Pal, Dab, and Dap stand for 2-amino-butyric acid, amino valeric acid, beta-aminopropionic acid, homoserine, norleucine, norvaline, (2, 3, or 4) 3-pyridyl-Ala, 1,4-diaminobutyric acid, and 1,3-diaminopropionic acid, respectively. In all aspects of the invention, it is noted that when amino acids are not designated as either D- or L-amino acids, the amino acid is either an L-amino acid or could be either a D- or L-amino acid, unless the context requires a particular isomer.
By "somatostatin peptide" is meant a somatostatin, or an analog thereof, having at least one biological activity of native somatostatin; preferably, this activity is the ability to specifically bind to a somatostatin receptor on a somatostatin receptor-bearing cell. Many such analogs having biological activity are known and have been described, for example, in Homik et al., U.S.P.N. 5,770,687; Coy et al., U.S.P.N. 5,708,135; Hoeger et al., U.S.P.N. 5,750,499; McBride et al., U.S.P.N. 5,620,675; Coy et al., U.S.P.N. 5,633,263; Coy et al., U.S.P.N. 5,597,894; Taylor et al., U.S.P.N. 5,073,541; Coy et al., U.S.P.N. 4,904,642; Dean, U.S.P.N. 6,017,509; Hoffinan et al.,.WO 98/47524; and A. E. Bogden, U.S.P.N. 5,411,943, each of which is hereby incorporated by reference in its entirety.
By "targeting moiety" is meant any molecule that specifically binds or reactively associates or complexes with a receptor or other receptive moiety associated with a given target cell population. This cell reactive molecule, to which the drug reagent is linked via the linker in the conjugate, can be any molecule that binds to, complexes with or reacts with the cell population sought to be therapeutically or otherwise biologically modified and, which possesses a free reactive amine group or can be modified to contain a such an amine group. The cell reactive molecule acts to deliver the conjugate, and, thus, the cytotoxic or therapeutic agent to the particular target cell population with which the ligand reacts. Such molecules include, but are not limited to, large molecular weight proteins (generally greater than 10,000 daltons) such as, for example, antibodies, smaller molecular weight proteins (generally, less than 10,000 daltons), polypeptide or peptide ligands, and non-peptidyl ligands.

By "therapeutic agent" is meant any compound that is used in the detection, diagnosis or treatment of human disease. Such compounds may be naturally-occurring, modified, or synthetic. Therapeutic agents may promote or inhibit any biological process implicated in a human disease pathway. Preferred disease targets include, but are not limited to, inflammatory bowel disease, rheumatoid arthritis, neoplastic cells apoptosis, cardiac tissues, or aberrantly proliferating cells, carcinoid syndrome, acromegaly, tuberculosis, and angiogenesis that causes inappropriate proliferation of blood vessels (e.g., macular degeneration which results from excess angiogenesis in the eye). A therapeutic agent may be, for example, antineoplastic, including cytotoxic. Antineoplastic agents may be alkylating agents, antibiotics, antimetabolites, hormonal agonists or antagonists, tubulin inhibitors, topoisomerase I and II inhibitors, anti- or pro-apoptotic agents, or immunomodulators. Antineoplastic agents may operate through other mechanistic pathways, or antineoplastic agents may be supplementary potentiating agents.
By "treating" is meant administering a pharmaceutical composition for prophylactic and/or therapeutic purposes. To "prevent disease" refers to prophylactic treatment of a patient who is not yet ill, but who is susceptible to, or otherwise at risk of, a particular disease. To "treat disease" or use for "therapeutic treatment" refers to administering treatment to a patient already suffering from a disease to ameliorate the disease and improve the patient's condition. Thus, in the claims and embodiments, treating is the administration to a mammal either for therapeutic or prophylactic purposes.
Brief Description of the Drawings
Figure 1 is a diagram demonstrating the on-resin synthesis of a BINAR group-containing somatostatin analogue and attachment of camptothecin via a carbamate linking group followed by removal from the resin to give compound 2. Basic conditions or enzymatic attack results in nucleophile-assisted release of free camptothecin.
Figure 2 is a graph demonstrating the dose-response curve for conjugates 1-6 and showing the ability of conjugates 1-6 to kill somatostatin receptor subtype 2 (SSTR2) positive IMR-32 cells after incubation for 3 days using a cell viability MTT assay.

Detailed Description of the Invention
The present invention features conjugates of cytotoxic or therapeutic agents and biologically peptides. These conjugates provide many advantages for the administration of such cytotoxic or therapeutic agents. Conjugates of the invention may be directed to target sites or specific cells, resulting in effective internalization of the cytotoxic or therapeutic agent. In addition, conjugates of the invention exhibit reduced release of cytotoxic or therapeutic agent in circulation. Conjugates of the invention may be modified as desired to adjust the release of cytotoxic or therapeutic agent.
Conjugates of the invention have the following general formula:

wherein X is a cytotoxic agent or therapeutic agent;
n is an integer from 0 to 6, wherein (CH2)n is substituted or unsubstiuted, straight or branched chain, alkyl, alkenyl, alkynyl, cyclic, heterocyclic, aromatic, or heteroaromatic.
R is N(RiR2), OR], or SR1 where R1 and R2 are, independently, hydrogen or a lower alkyl group;
Y is an hydrophilic spacer sequence, or is omitted;
Z is a linking peptide, or is omitted; and
Q is a targeting moiety.
According to the present invention, the release rate of cytotoxic agent may be
controlled by modifying the chemical structure of the conjugate. For example, when R
is NH2 and n = 2, the following displacement reaction can occur:
O

Without wishing to be bound by any theory, in the above mechanism, the nucleophilic group aids in the intracellular release of cytotoxic or therapeutic agent (as "X-OH") in an adjustable fashion dependent on n. The reactivity of the nucleophile may be increased or decreased according to the length of the hydrocarbon side chain, i.e., according to the value of n, or by changing R to NCH3, OH, or N(CH3)2. For example, n = 2 is preferable when the cytotoxic group is bound to the carbamate linkage through an alkyl-OH group, e.g., campothecin, homocamptothecin, colchicine, combretastatin, dolistatin, doxorubicin, methotrexate, podophyllotoxin, rhizoxin, rhizixin D, rocaglamide, anguidine, a taxol, pactlitoxol, CC1065, or a maytansinoid. However, when the cytotoxic group is bound through an aryl-OH group (e.g., combretastatin or rocaglamide) R is N(CH3)2 and n = 3 is preferable:

Thus, it is apparent from the teachings herein that conjugates of the invention may be designed to control the release of the cytotoxic or therapeutic agent. The invention also features a compound having the formula:

R

,(CH2)n O

wherein
X is a cytotoxic agent or therapeutic agent;

n is an integer from 0 to 6, wherein (CH2)n is substituted or unsubstituted, a straight or branched chain, or is an alkyl, alkenyl, alkynyl, cyclic, heterocyclic, aromatic, or heteroaromatic group;
R is N(R1R2), OR), or SR1 where R1 and R2 are, independently, hydrogen or a lower alkyl group, and wherein R3 is a (CH2)SH group or an OH group. For example, a compound having the formula:

can be used to link the compound to a peptide, protein, or antibody. In addition, a peptide or protein can be directly synthesized onto this conjugate, thereby providing an easy means of preparing conjugate compounds containing a peptide or protein. The compound can be provided such that the R group is a tBoc protected primary or secondary amino group, and a peptide or protein can be added to the compound as described in the examples provided below.
Peptides, proteins, and antibodies can also be attached to a compound having the formula:

This unprotected R derivative can be used to link peptides, proteins, and antibodies using known thiol-reactive chemical reactions that attach to the thiol moiety at the R3 position (see, e.g., Greg T. Hermanson, "Bioconjugate Techniques" p. 146-152,1996, and EXAMPLE 21 below).

In all of the conjugates of the invention, X is preferably selected from cytotoxic agents and therapeutic agents containing a primary, secondary, tertiary, benzylic or phenolic hydroxyl group. One skilled in the art will recognize that, for those cytotoxic or therapeutic agents which lack a hydroxyl group, a derivative containing such a hydroxyl group may be prepared using procedures known in the art.
Preferred cytotoxic agents are those used for cancer therapy, such as, in general, alkylating agents, anti-proliferative agents, tubulin binding agents and the like. Preferred classes of cytotoxic agents include, for example, the anthracycline family of drugs, the vinca drugs, the mitomycins, the bleomycins, the cytotoxic nucleosides, the pteridine family of drugs, diynenes, and the podophyllotoxins. Particularly useful members of those classes include, for example, adriamycin, carminomycin, daunorubicin, aminopterin, methotrexate, methopterin, dichloromethotrexate, mitomycin C, porfiromycin, 5-fluorouracil, 6-mercaptopurine, cytosine arabinoside, podophyllotoxin, or podophyllotoxin derivatives such as etoposide or etoposide phosphate, melphalan, vinblastine, vincristine, leurosidine, vindesine, leurosine and the like. As noted previously, one skilled in the art may make chemical modifications to the desired compound in order to make reactions of that compound more convenient for purposes of preparing conjugates of the invention. In preferred embodiments, X is a cytotoxic agent selected from camptothecin, homocamptothecin, colchicine, combretastatin, dolistatin, doxorubicin, methotrexate, podophyllotixin, rhizoxin, rhizoxin D, a taxol, paclitaxol, CC1065, or a maytansinoid, and derivatives and analogs thereof For example, the cytotoxic agent camptothecin is linked through its single free hydroxyl group to a carbamate linker and thiocolchicine can be derivatized such that it contains a hydroxy group suitable for use of the described linking group strategy. In this embodiment of the invention, n is preferably 2 and R is preferably NH2.
In conjugates of the present invention, X can be any cytotoxic or therapeutic moiety, e.g.. Antineoplastic agents such as: Acivicin; Aclarubicin; Acodazole Hydrochloride; Acronine; Adozelesin; Adriamycin; Aldesleukin; Altretamine; Ambomycin; A. metantrone Acetate; Aminoglutethimide; Amsacrine; Anastrozole; Anthramycin; Asparaginase; Asperlin; Azacitidine; Azetepa; Azotomycin; Batimastat; Benzodepa; Bicalutamide; Bisantrene Hydrochloride; Bisnafide Dimesylate; Bizelesin; Bleomycin Sulfate; Brequinar Sodium;Bropirimine; Busulfan; Cactinomycin; Calusterone; Camptothecin; Caracemide; Carbetimer; Carboplatin; Carmustine;

X may preferably be an antimetabolic agent, such as methotrexate. Antimetabolites include, but are not limited to, the following compounds and their derivatives: azathioprine, cladribine, cytarabine, dacarbazine, fludarabine phosphate, fluorouracil, gencitabine chlorhydrate, mercaptopurine, methotrexate, mitobronitol, mitotane, proguanil chlorohydrate, pyrimethamine, rahitrexed, trimetrexate glucuronate, urethane, vinblastine sulfate, vincristine sulfate, etc. More preferably, X may be a folic acid-type antimetabolite, a class of agents that includes, for example, methotrexate, proguanil chlorhydrate, pyrimethanime, trimethoprime, or trimetrexate glucuronate, or derivatives of these compounds.
In another embodiment, X can also be a member of the anthracycline family of neoplastic agents, including but not limited to aclarubicine chlorhydrate, daunorubicine chlorhydrate, doxorubicine chlorhydrate, epirubicine chlorhydrate, idarubicine chlorhydrate, pirarubicine, or zorubicine chlorhydrate. Furthermore, X may be a camptothecin, or its derivatives or related compounds such as 10,11 methylenedioxycamptothecin. X may also be selected from the maytansinoid family of compounds, which includes a variety of structurally related compounds. For example, ansamitocin P3, maytansine, 2'-N-demethylmaytanbutine, or maytanbicyclinol are maytansinoids.
Y is an hydrophilic spacer sequence that may be, preferably, a peptide that increases the biodistribution of the conjugate, or a hydrophilic polymer. For example, Y may be a peptide sequence that increases the hydrophilic biodistribution of the biologically active peptide conjugate. In a preferred embodiment, Y has the formula U(V-V)n, wherein U is D-Pro, L-Pro, D-4-OH-Pro, L-4-OH-Pro, Sarcosine, Lys, Om, Dab, Dap, 4-NH2-Phe, or (NH2-(CH2)m-COOH), where m=2-10, inclusive, or is deleted; each V is independently selected from the group consisting of: D-Ser, L-Ser, D-Thr, L-Thr, D-Gln, L-Gln, D-Asn, L-Asn, D-4-OH-Pro, or L-4 hydroxy-Pro; and n=l-50, inclusive. In another preferred embodiment, each V is independently D-Ser or L-Ser. In another preferred embodiment, at least one V is a D-amino acid.
Following the teachings herein, Y may be selected to facilitate biodistribution of a conjugate of the invention. Y may be a peptide or a polymer such as PEG or PVA. If Y is a hydrophilic peptide, Y may preferably be 1 to 50 amino acids in length, or more preferably 3 to 15 residues in length. For example, Y may be 3,4, 5, 6, 7, 8, 9,10, 11, 12,13,14,15,16,17,18,19 or 20 amino acid residues in length. When a peptide, Y

may contain charged or non-polar amino acids, their analogs or derivatives that are naturally occurring, synthetic or modified.
Y can also be a hydrophilic polymer. For example, Y may be polyethylene glycol (PEG), polyvinyl acetate, polyvinyl alcohol (PVA), N-(2-hydroxypropyl) methacrylamide (HPMA) or HPMA copolymers, a,|3-poly(N-hydroxyethyl)-DL-aspartamide (PHEA), or a,P-poly(N-hydroxypropyl)-DL-aspartamide. PEG, PHEA, and PVA groups used in conjugates of the invention are also known to be excellent promoters of rapid renal secretion which is correlated generally with lower potential drug toxicities (see, e.g., Yamoaka et al., J. Pharmacol. Sci., 83:601-606, 1994; Rypacek et al., Pflugers Arch., 392:211-217, 1982; Yamoaka et al., J. Pharm. Pharmacol., 47:479-486,1995). These groups may also promote lowered toxicity emanating from bioavailable, non-internalized conjugates.
Z is a linking peptide that preserves at least fifty percent of the biological activity of Q, when Z is bonded to Q through the terminal or side-chain amino group of Q. Generally, Z may be a peptide of 2,3,4, or 5 residues. Z has the formula: A-B-C-E-F, where A is D-Lys, D-Tyr, D-Ser, or L-Ser, or deleted; B is D-Lys or D-Tyr, or is deleted; C is Lys, Ser, hSer, Thr, Nle, Abu, Nva, (2,3, or 4) 3-pyridyl-AIa (Pal), Om, Dab, Dap, 4-NH2-Phe, D-4-OH-Pro, or L-4-OH-Pro, or is deleted; E is D-Lys, D-Tyr, D-Ser, D-4-OH-Pro, L-4-OH-Pro, 3-iodo-D-Tyr, 3-5 diido-D-Tyr, 3-astatine-D-Tyr, 3-5 astatine-D-Tyr, 3-bromo-D-Tyr, 3-5 dibromo-D-Tyr, D-Asn, L-Asn, D-Asp, L-Asp, D-Glu, L-Glu, D-Gln, or L-Gln; and F is D-Lys, D-Tyr, D-Ser, L-Ser, D-4-OH-Pro, L-4-OH-Pro, 3-iodo-D-Tyr, 3-5 diido-D-Tyr, 3-astatine-D-Tyr, 3-5 astatine-D-Tyr, 3-bromo-D-Tyr, 3-5 dibromo-D-Tyr, D-Asn, L-Asn, D-Asp, L-Asp, D-Glu, L-Glu, D-Gln, or L-Gln; provided that when A, B, C, and E are Tyr, Tyr, Lys, and Tyr, respectively, F is not Lys; and when A, B, C, and E, are Lys, Tyr, Lys, and Tyr, respectively, F is not Tyr or Lys; and when A and B are deleted, and C and E are Lys and Tyr, respectively, F is not Tyr or Lys.
In other embodiments, Z has the formula (when A, B, and C are deleted):
E-F where E is D-Lys, D-Tyr, D-Ser, D-4-OH-Pro, L-4-OH-Pro, 3-iodo-D-Tyr, 3-5 diiodo-D-Tyr, 3-astatine-D-Tyr, 3-5 astatine-D-Tyr, 3-bromo-D-Tyr, 3-5 dibromo-D-Tyr, D-Asn, L-Asn, D-Asp, L-Asp, D-Glu, L-Glu, D-Gln, or L-Gln; and F is D-Lys, D-Tyr, D-Ser, L-Ser, D-4-OH-Pro, L-4-OH-Pro, 3-iodo-D-Tyr, 3-5 diiodo-D-Tyr, 3-astatine-D-

adenylyl cyclase type I receptor (PACl), fibrin a-chain, peptides derived from phage display libraries, and conservative substitutions thereof, that are targeted to a cell or tissue in the body of a mammal (e.g., diseased tissue, such as a tumor or a proliferative angiogenic blood vessel; see, e.g., those described by Aina et al., Biopolymers 66:184-199, 2002), and derivatives and analogs thereof. See, e.g., Signore et al., Eur. J. Nucl. Med. 28(10):1555-65, 2001.
Cytotoxic somatostatin peptide analogs may also be specific for tumor vasculatures, or angiogenic blood vessels, such as those which over-express somatostatin receptors (see Denzler and Reubi, Cancer 85:188-198,1999; Gulec et al., J. Surg. Res. 97(2): 131-137, 2001; Woltering et al., J. Surg. Res. 50:245, 1991). Additionally, because the preferred somatostatin analogs of the invention are variously hydrophilic, they are water-soluble and, thus, have enhanced use as compared to previous hydrophobic analogs. The hydrophilic analogs described herein are soluble in blood, cerebrospinal fluid, and other bodily fluids, as well as in urine, facilitating excretion by the kidneys. This hydrophilic character facilitates the delivery of the analogs of the invention to almost every area of the body. The invention also discloses specific hydrophilic elements for incorporation into peptide analogs, allowing modulation of the analog's hydrophilicity to adjust for the chemical and structural nature of the various conjugated cytotoxic agents.
Somatostatin agonist analogs are rapidly internalized after binding to their receptors (see, e.g., Lukinius et al. Acta One, 38:383-387, 1999) and can thus be used as vectors for targeting various therapeutic agents - such as traditional tumor cytotoxic agents. It is possible that the specificity of such anti-tumor agents can be drastically improved since many tumor types heavily overexpress somatostatin type 2 receptors. In this manner, we propose that the toxic side effects associated with all conjugatable cytotoxic agents can be usefiilly lowered as long as a potent hybrid molecule can be designed which retains very high affinity for somatostatin receptors.
Immunoreactive ligands for use as a targeting moiety in the invention include an antigen-recognizing immunoglobulin (also referred to as "antibody"), or antigen-recognizing fragment thereof Particularly preferred immunoglobulins are those that can recognize a tumor-associated antigen. As used herein, "immunoglobulin" refers to any recognized class or subclass of immunoglobulins such as IgG, IgA, IgM, IgD, or IgE. Preferred are those immunoglobulins which fall within the IgG class of

immunoglobulins. The immunoglobulin can be derived from any species. Preferably, however, the immunoglobulin is of human, murine, or rabbit origin. In addition, the immunoglobulin may be polyclonal or monoclonal, but is preferably monoclonal.
Conjugates of the invention may include an antigen-recognizing immunoglobulin fragment. Such immunoglobulin fragments may include, for example, the Fab', F(ab')2, Fy or Fab fragments, or other antigen-recognizing immunoglobulin fragments. Such immunoglobulin fragments can be prepared, for example, by proteolytic enzyme digestion, for example, by pepsin or papain digestion, reductive alkylation, or recombinant techniques. The materials and methods for preparing such immunoglobulin fragments are well-known to those skilled in the art. See Parham, J. Immunology, 131, 2895, 1983; Lamoyi et al., J. Immunological Methods, 56, 235, 1983.
The immunoglobulin used in conjugates of the invention may be a "chimeric antibody" as that term is recognized in the art. Also, the immunoglobulin may be a "bifunctional" or "hybrid" antibody, that is, an antibody which may have one arm having a specificity for one antigenic site, such as a tumor associated antigen while the other arm recognizes a different target, for example, a hapten which is, or to which is bound, an agent lethal to the antigen-bearing tumor cell. Alternatively, the bifunctional antibody may be one in which each arm has specificity for a different epitope of a tumor associated antigen of the cell to be therapeutically or biologically modified. Hybrid antibodies thus have a dual specificity, preferably with one or more binding sites specific for the hapten of choice or one or more binding sites specific for a target antigen, for example, an antigen associated with a tumor, an infectious organism, or other disease state.
Biological bifunctional antibodies are described, for example, in European Patent Publication, EPA 0 105 360, which is hereby incorporated by reference in its entirety. Such hybrid or bifunctional antibodies may be derived either biologically, by cell fusion techniques, or chemically, such as with cross-linking agents or disulfide bridge-forming reagents, and may be comprised of whole antibodies and/or fragments thereof Methods for obtaining such hybrid antibodies are disclosed, for example, in PCT application W083/03679, published Oct. 27, 1983, and published European Application EPA 0 217 577, published Apr. 8, 1987, each of which is hereby incorporated by reference in its entirety. Particularly preferred bifunctional antibodies are those biologically prepared from a "polydoma" or "quadroma" or which are synthetically prepared with cross-

linking agents such as bis-(maleimido)-methyl ether ("BMME"), or with other cross-linking agents familiar to those skilled in the art.
In addition, the immunoglobin may be a single chain antibody ("SCA"). An SCA may consist of single chain Fv fragments ("scFv") in which the variable light ("VL") and variable heavy ("VH") domains are linked by a peptide bridge or by disulfide bonds. Also, the immunoglobulin may consist of single VH domains (dAbs) that possess antigen-binding activity. See G. Winter and C. Milstein, Nature 349:295,1991; R. Glockshuber et al., Biochemistry 29:1362, 1990; and, E. S. Ward et al., Nature 341:544, 1989.
Especially preferred for use in the present invention are chimeric monoclonal antibodies; preferably those chimeric antibodies having specificity toward a tumor associated antigen. As used herein, the term "chimeric antibody" refers to a monoclonal antibody comprising a variable region, i.e. a binding region, from one source or species and at least a portion of a constant region derived from a different source or species, usually prepared by recombinant DNA techniques. Chimeric antibodies having a murine variable region and a human constant region are especially preferred in certain applications of the invention, particularly human therapy, because such antibodies are readily prepared and may be less immunogenic than purely murine monoclonal antibodies. Such murine/human chimeric antibodies are the product of expressed immunoglobulin genes comprising DNA segments encoding murine immunoglobulin variable regions and DNA segments encoding human immunoglobulin constant regions. Other forms of chimeric antibodies for use in conjugates of the invention are those in which the class or subclass has been modified or changed from that of the original antibody. Such "chimeric" antibodies are also referred to as "class-switched antibodies." Methods for producing chimeric antibodies involve conventional recombinant DNA and gene transfection techniques now well known in the art. See Morrison, S. L, et al., Proc. Nat'l Acad. Sci., 81:6851, 1984.
The term "chimeric antibody" also includes a "humanized antibody," namely, those antibodies in which the framework or "complementarity determining regions" ("CDR") have been modified to include the CDR of an immunoglobulin of different specificity, as compared to that of the parent immunoglobulin. In a preferred embodiment, a murine CDR is grafted into the framework region of a human antibody to prepare the "humanized antibody." See, e.g., L. Riechmann et al.. Nature 332:323,

1988; M. S. Neuberger et al., Nature 314:268,1985. Particularly preferred CDRs correspond to those representing sequences recognizing the antigens noted above for the chimeric and bifunctional antibodies. See, e.g., EPA 0 239 400 (published Sep. 30, 1987), which is hereby incorporated by reference in its entirety.
One skilled in the art will recognize that a bifunctional-chimeric antibody can be prepared which would have the benefits of lower immunogenicity of the chimeric or humanized antibody, as well as the flexibility, especially for therapeutic treatment, of the bifunctional antibodies described above. Such bifunctional-chimeric antibodies can be synthesized, for instance, by chemical synthesis using cross-linking agents and/or recombinant methods of the type described above. The present invention should not be construed as limited in scope by any particular method of production of an antibody whether bifunctional, chimeric, bifunctional-chimeric, humanized, or an antigen-recognizing fragment or derivative thereof
Conjugates of the invention may also include immunoglobulins (as defined above) or immunoglobulin fragments to which are fused active proteins, for example, an enzyme of the type disclosed in Neuberger, et al., PCT application W086/01533, published Mar. 13,1986, which is hereby incorporated by reference in its entirety.
As used herein, "bifunctional," "fused," "chimeric" (including humanized), and "bifunctional-chimeric" (including humanized) antibody constructions also include, within their individual contexts, constructions including antigen recognizing fragments. As one skilled in the art will recognize, such fragments may be prepared by traditional enzymatic cleavage of intact bifunctional, chimeric, humanized, or chimeric-bifiinctional antibodies. In the event that intact antibodies are not susceptible to such cleavage, e.g., because of the nature of the construction involved, the noted constructions can be prepared with immunoglobulin fragments used as the starting materials; or, if recombinant techniques are used, the DNA sequences, themselves, can be tailored to encode the desired "fragment" which, when expressed, can be combined in vivo or in vitro, by chemical or biological means, to prepare the final desired intact immunoglobulin "fragment." It is in this context that the term "fragment" is used herein.
The immunoglobulin (antibody), or fragment thereof, used in conjugates of the present invention may be polyclonal or monoclonal in nature. Monoclonal antibodies are the preferred immunoglobulins. The preparation of polyclonal or monoclonal

antibodies is well known to those skilled in the art. See, e.g., G. Kohler and C. Milstein, Nature 256:495,1975. In addition, hybridomas and/or monoclonal antibodies which are produced by such hybridomas and which are useful in the practice of the present invention are publicly available.
In a further embodiment, the invention features a method for the treatment of a disease or modification of a biological function. The method includes administering to a warm-blooded animal in need thereof, a therapeutically effective or biological function modifying amount of a conjugate of the invention. One of skill in the art will recognize that the particular conjugate used will depend on the disease state to be treated or the biological system to be modified. In particular, one skilled in the art will be able to select a particular targeting moiety and cytotoxic or therapeutic agent to prepare a conjugate of the invention which has specificity for the treatment of the disease or is able to modify the biological function desired. It is envisioned that several disease are treatable using the conjugates of the invention, including, for example, tumors of the lung, breast, brain, eye, prostate or colon; tumors of neuroendocrine origin (e.g., carcinoid syndrome); and proliferative angiogenic blood vessels (in, e.g., the eye), such as those associated with tumors, retinal macular degeneration, or diabetic retinopathy..
Conjugates of the invention may be administered to a mammalian subject, such as a human, directly or in combination with any pharmaceutically acceptable carrier or salt known in the art. Pharmaceutically acceptable sahs may include non-toxic acid addition salts or metal complexes that are commonly used in the pharmaceutical industry. Examples of acid addition salts include organic acids such as acetic, lactic, pamoic, maleic, citric, malic, ascorbic, succinic, benzoic, palmitic, suberic, salicylic, tartaric, methanesulfonic, toluenesulfonic, or trifluoroacetic acids or the like; polymeric acids such as tannic acid, carboxymethyl cellulose, or the like; and inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid phosphoric acid, or the like. Metal complexes include zinc, iron, and the like. One exemplary pharmaceutically acceptable carrier is physiological saline. Other physiologically acceptable carriers and their formulations are known to one skilled in the art and described, for example, in Remington's Pharmaceutical Sciences, (18* edition), ed. A. Gennaro, 1990, Mack Publishing Company, Easton, PA.

Pharmaceutical formulations of a therapeutically effective amount of a conjugate of the invention, or pharmaceutically acceptable salt-thereof, can be administered orally, parenterally (e.g., intramuscular, intraperitoneal, intravenous, subcutaneous, or ocular injection, inhalation, intradermally, optical drops, or implant), nasally, vaginally, rectally, sublingually or topically, in admixture with a pharmaceutically acceptable carrier adapted for the route of administration.
Methods well known in the art for making formulations are found, for example, in Remington's Pharmaceutical Sciences (18* edition), ed. A. Gennaro, 1990, Mack Publishing Company, Easton, PA. Compositions intended for oral use may be prepared in solid or liquid forms according to any method known to the art for the manufacture of pharmaceutical compositions. The compositions may optionally contain sweetening, flavoring, coloring, perfuming, and/or preserving agents in order to provide a more palatable preparation. Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules. In such solid forms, the active compound is admixed with at least one inert pharmaceutically acceptable carrier or excipient. These may include, for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, sucrose, starch, calcium phosphate, sodium phosphate, or kaolin. Binding agents, buffering agents, and/or lubricating agents (e.g., magnesium stearate) may also be used. Tablets and pills can additionally be prepared with enteric coatings.
Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, solutions, suspensions, syrups, and soft gelatin capsules. These forms contain inert diluents commonly used in the art, such as water or an oil medium. Besides such inert diluents, compositions can also include adjuvants, such as wetting agents, emulsifying agents, and suspending agents.
Formulations for parenteral administration include sterile aqueous or non¬aqueous solutions, suspensions, or emulsions. Examples of suitable vehicles include propylene glycol, polyethylene glycol, vegetable oils, gelatin, hydrogenated naphalenes, and injectable organic esters, such as ethyl oleate. Such formulations may also contain adjuvants, such as preserving, wetting, emulsifying, and dispersing agents. Biocompatible, biodegradable lactide polymer, lactide/glycolide copolymer, or polyoxyethylene-polyoxypropylene copolymers may be used to control the release of the compounds. Other potentially useful parenteral delivery systems for the

polypeptides of the invention include ethylene-vinyl acetate copolymer particles, osmotic pumps, implantable infusion systems, and liposomes.
Liquid formulations can be sterilized by, for example, filtration through a bacteria-retaining filter, by incorporating sterilizing agents into the compositions, or by irradiating or heating the compositions. Alternatively, formulations can also be manufactured in the form of sterile, solid compositions that can be dissolved in sterile water or some other sterile injectable medium immediately before use.
Compositions for rectal or vaginal administration are preferably suppositories that may contain, in addition to active substances, excipients such as cocoa butter or a suppository wax. Compositions for nasal or sublingual administration are also prepared with standard excipients known in the art. Formulations for inhalation may contain excipients, for example, lactose, or may be aqueous solutions containing, for example, polyoxyethylene-9-lauryl ether, glycocholate and deoxycholate, or may be oily solutions for administration in the form of nasal drops or spray, or as a gel.
The amount of active ingredient in the compositions of the invention can be varied. One skilled in the art will appreciate that the exact individual dosages may be adjusted somewhat depending upon a variety of factors, including the polypeptide being administered, the time of administration, the route of administration, the nature of the formulation, the rate of excretion, the nature of the subject's conditions, and the age, weight, health, and gender of the patient. In addition, the severity of the condition targeted by the biologically active peptide such as somatostatin or bombesin will also have an impact on the dosage level. Generally, dosage levels of between 0.1 'g/kg to 100 mg/kg of body weight are administered daily as a single dose or divided into multiple doses. Preferably, the general dosage range is between 250 |ug/kg to 5.0 mg/kg of body weight per day. Wide variations in the needed dosage are to be expected in view of the differing efficiencies of the various routes of administration. For instance, oral administration generally would be expected to require higher dosage levels than administration by intravenous injection. Variations in these dosage levels can be adjusted using standard empirical routines for optimization, which are well known in the art. In general, the precise therapeutically effective dosage will be determined by the attending physician in consideration of the above identified factors.

The conjugates of the invention can be administered in a sustained release composition, such as those described in, for example, U.S.P.N, 5,672,659 and U.S.P.N. 5,595,760. The use of immediate or sustained release compositions depends on the type of condition being treated. If the condition consists of an acute or over-acute disorder, a treatment with an immediate release form will be preferred over a prolonged release composition. Alternatively, for preventative or long-term treatments, a sustained released composition will generally be preferred.
Polypeptides used in the present invention can be prepared in any suitable manner. The polypeptides may be isolated from naturally occurring sources, recombinantly produced, or produced synthetically, or produced by a combination of these methods. The synthesis of short peptides is well known in the art. See e.g. Stewart et al.. Solid Phase Peptide Synthesis (Pierce Chemical Co., 2d ed., 1984). The peptides of the present invention can be synthesized according to standard peptide synthesis methods known in the art.
The following examples are meant to illustrate the invention. They are not meant to limit the invention in any way.
EXAMPLE 1 Preparation of the chloroformate ofcamptothecin
Camptothecin (250 mg) and 4-dimethylaminopyridine (DMAP; 50 mg) were suspended in 3 mL anhydrous pyridine and 50 mL anhydrous methylene chloride. Phosgene (750 'iL of a 20% solution in toluene) was added to the slurry and mixed 2 h at ambient temperature. Excess phosgene and methylene chloride were evaporated in a chemical fume hood and the chlorformate ofcamptothecin dissolved in DCM.
EXAMPLE 2 Preparation of Camptothecin-carbonyl-N-aminoethyl-glycine-D-tert-butyl-Ser-Nle-D-tert-butyl-Tyr-D-tert-butyl-Ser-S-trityl-Cys-Phe-D-Trp-epsilon-tert-butyloxycarbonyl-Lys-tert-butyl-Thr-S-trityl-Cys-tert-butyl-Thr-Rink-amide-resin (SEQ ID NO: 16)

Rink amide [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydrylamine resin (0.063 mmole), 100-200 mesh (Novabiochem, San Diego, CA) was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in dimethylformamide (DMF) for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed (2 min). The resin was filtered and again an excess amount of 20% piperidine added and mixed (20 min) to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Thr(tBut) (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin, which was mixed for 1 h, followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-S-trityl-L-cysteine, Fmoc-0-t-butyl-L-threonine,N"-Fmoc-N'-Boc-L-Iysine,N"-Fmoc-N*"-Boc-D-tryptophan, Fmoc-L-phenylalanine, Fmoc-S-trityl-L-cysteine, Fmoc-0-t-butyl-D-serine, Fmoc-0-t-butyl-D-tyrosine, N"-Fmoc-Norleucine, Fmoc-O-t-butyl-D-serine, bromoacetic acid. After completion of bromoacetic acid coupling to peptidyl resin (3 eq), N-Boc-ethylenediamine was added in N-methyl-a-pyrrolidinone (NMP) and mixed (2 h) and then washed 3 times with DMF and 3 times with DCM. Camptothecin chloroformate from EXAMPLE 1 was added to the resin and mixed overnight, washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 3 Preparation of camptothecin-carbonyl-N-(2-aminoethyl)-glycine-D-Ser-Nle-D-Tyr-D-Ser-cydo[Cys-Phe-D-Trp-Lys-Thr-Cys]-Thr-amide (SEQIDNO: 17)
The camptothecin-peptide resin prepared in EXAMPLE 2 (0.063 mmol) was placed in a round bottomed flask to which was added 15 mL of a solution of trifluoroacetic acid (TFA) containing water (2.5%), 1,2-ethanedithiol (2.5%), and triisopropylsilane (1%). The suspension was agitated (2 h) and filtered and washed

several times with TFA. The TFA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder that was then dissolved in 60% acetic acid (250 mL). A concentrated solution of iodine in methanol was added dropwise with vigorous stirring until a permanent brown coloration was formed whereupon excess iodine was removed by addition of a small quantity of ascorbic acid.
The solution was reduced to a volume of around 10 mL in vacuo and the crude camptothecin peptide purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 'm). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TFA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fractions containing the pure product, as identified by analytical HPLC, were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a fluffy yellow powder of constant weight by lyophilization from aqueous acetic acid. Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.
EXAMPLE 4 Preparation ofchloroformate ofpaclitaxel
Paclitaxel (0.6 mmole) was dissolved in 30 mL anhydrous DCM in a 100 mL round bottomed (RB) flask. To this solution, diisopropylethylamine (DIEA; 3 mmol) dissolved in 20 mL anhydrous DCM was added over 20 minutes at 0°C under a dry nitrogen atmosphere. Phosgene (3 mmol) was added to the slurry and mixed for 30 minutes at 0°C and 2 hours at ambient temperature. Excess phosgene and methylene chloride were evaporated and the chloroformate ofpaclitaxel was dissolved in methylene chloride.
EXAMPLE 5 Preparation of Paclitaxel-carbonyl-N-(2-hydroxyethyl)-glycine-D-trityl-Ser-Norleucine-D-trityl-Tyr-D-trityl-Ser-S-trityl-Cys-Phe-D-Trp-epsilon-mtt-Lys-trityl-Thr-S-trityl-Cys-trityl-Thr-Amino-xanthen-MBHA-resin (SEQIDNO: 16)

FMOC-Amino-Xanthen-MBHA (4-Methylbenzhydrylamine Hydrochloride) polystyrene resin (0.063 mmol) [Bachem, catalog # D-2040, Lot # 0541173] was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in DMF for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed for 2 minutes. The resin was filtered and again an excess amount of 20% piperidine added and mixed for 20 minutes to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Thr(trityl) (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin which was mixed (1 h) followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-S-trityl-L-cysteine, Fmoc-0- trityl -L-threonine, IST'-Fmoc-N'mtt-L-lysine, N°-Fmoc-D-tryptophan, Fmoc-L-phenylalanine, Fmoc-S-trityl-L-cysteine, Fmoc-0-trityl -D-serine, Fmoc-0- trityl -D-tyrosine, N"-Fmoc-Norleucine, Fmoc-0- trityl -D-serine, Bromoacetic acid. After completion of bromoacetic acid coupling to peptidyl resin, (3 eq) ethanolamine was added in NMP and mixed for two hours then washed 3 times with DMF and 3 times with DCM. Paclitaxel chloroformate from EXAMPLE 4 was added to the resin and mixed overnight, washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 6 Preparation ofPaclitaxel-carbonyl- N-(2-hydroxyethyl)-glycme -D-Ser-Nle-D-Tyr-D-Ser-cyclo[Cys-Phe-D-Trp-Lys-Thr-Cys]-Thr-amide (SEQIDNO: 17)
The paclitaxel-peptide resin prepared in EXAMPLE 5 (0.063 mmol) was placed in a RB flask to which was added 15 mL of a solution of trifluoroacetic acid (2%) in methylene chloride. The suspension was agitated (2 h), filtered, and washed several times with methylene chloride. The methylene chloride was evaporated in vacuo and ether added to the resulting oil to give a white powder that was then dissolved in 60% acetic acid (250 mL). A concentrated solution of iodine in methanol was added

dropwise with vigorous stirring until a permanent brown coloration was formed whereupon excess iodine was removed by addition of a small quantity of ascorbic acid. The solution was reduced to a volume of around 10 mL in vacuo and the crude paclitaxel peptide purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 'm). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TEA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fi-actions containing the pure product as evidenced by analytical HPLC were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a fluffy white powder of constant weight by lyophilization from aqueous acetic acid. Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.
EXAMPLE 7 Preparation of Camptothecin-carbonyl-N-aminoethyl-glycine-D-tert-butyl-Ser-D-epsilon-tert-butyloxycarbonyl-Lys-Gln-Trp-Ala-Val-P-Ala-trityl-His-Phe-Nle-Rink-amide-resin (SEQIDNO: 18)
Rink amide MBHA polystyrene resin (0.063 mmol) [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydrylamine resin, 100-200 mesh, Novabiochem, San Diego, CA] was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in DMF for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed for 2 minutes. The resin was filtered and again an excess amount of 20% piperidine added and mixed for 20 minutes to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Norleucine) (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin which was mixed (1 h) followed by washing 4 times with DMF.

The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-L-phenylalanine, Fmoc-N'-trityl-L-histidine, Fmoc-pAla, Fmoc-Valine, Fmoc-alanine, Fmoc-N'"-Boc-L-tryptophan, Fmoc-glutamine, Fmoc-N'-Boc-D-lysine, Fmoc-O-t-butyl-D-serine, bromoacetic acid. After completion of bromoacetic acid coupling to peptidyl resin, (3 eq) N-Boc-ethylenediamine was added in NMP and mixed for two hours then washed 3 times with DMF and 3 times with DCM. Camptothecin chloroformate from EXAMPLE 1 was added to the resin and mixed overnight, washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 8 Preparation of Camptothecm-carbonyl-N-(2-ammoethyl)-glycme-D-Ser-D-Lys-Gln-Trp-Ala-Val-P-Ala-His-Phe-Nle-amide (SEQIDNO: 18)
The camptothecin-peptide resin prepared in EXAMPLE 7 (0.063 mmol) was placed in a round bottomed flask to which was added 15 mL of a solution of trifluoroacetic acid (TEA) containing water (2.5%), and triisopropylsilane (1%). The suspension was agitated (2 h), filtered, and washed several times with TEA. The TEA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder that was then dissolved in 60% acetic acid (250 mL).
The solution was reduced to a volume of around 10 mL in vacuo and the crude camptothecin peptide purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 )xm). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TEA and buffer B, 0.1% TEA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fi-actions containing the pure product as evidenced by analytical HPLC were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a fluffy yellow powder of constant weight by lyophilization from aqueous acetic acid. Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.

EXAMPLE 9 Preparation of Camptothecin-carbonyl-N-aminoethyl-glycine-D-tert-butyl-Ser-D-tert-butyl-Tyr-Gln-Trp-Ala-Val-P-Ala-trityl-His-Phe-Nle-Rink-amide-resin (SEQ ID NO: 19)
Rink amide MBHA polystyrene resin (0.063 mmol) [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydry lamine resin, 100-200 mesh, Novabiochem, San Diego, CA] was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in DMF for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed for 2 minutes. The resin was filtered and again an excess amount of 20% piperidine added and mixed for 20 minutes to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Norleucine (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin which was mixed (1 h) followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-L-phenylalanine, Fmoc-N""-trityl-L-histidine, Fmoc-pAla, Fmoc-Valine, Fmoc-alanine, Fmoc-N'"-Boc-L-tryptophan, Fmoc-glutamine, Fmoc- 0-t-butyl-D-Tyr, Fmoc-0-t-butyl-D-serine, bromoacetic acid. After completion of bromoacetic acid coupling to peptidyl resin, (3 eq) N-Boc-ethylenediamine was added in NMP and mixed for two hours then washed 3 times with DMF and 3 times with DCM. Camptothecin chloroformate fi"om EXAMPLE 1 was added to the resin and mixed overnight, washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.

EXAMPLE 10 Preparation of Camptothecm-carbonyl-N-(2-aminoethyl)-glycine-D-Ser-D-Tyr-Gln-Trp-Ala-Val-P-Ala-His-Phe-Nle-amide (SEQIDNO: 19)
The camptothecin-peptide resin prepared in EXAMPLE 9 (0.063 mmol) was placed in a RB flask to which was added 15 mL of a solution of trifluoroacetic acid (TFA) containing water (2.5%), and triisopropylsilane (1%). The suspension was agitated (2 h), filtered and washed several times with TFA. The TFA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder that was then dissolved in 60% acetic acid (250 mL).
The solution was reduced to a volume of around 10 mL in vacuo and the crude camptothecin peptide purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 'un). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TFA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fractions containing the pure product as evidenced by analytical HPLC were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a fluffy yellow powder of constant weight by lyophilization from aqueous acetic acid. Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.
EXAMPLE 11 Preparation of Combretastatin-carbonyl-N-(2-aminoethyl)-glycine-D-tert-butyl-Ser-Norleucine-D-tert-butyl-Tyr-D-tert-butyl-Ser-S-trityl-Cys-Phe-D-Trp-epsilon-tert-butyloxycarbonyl-Lys-tert-butyl-Thr-S-trityl-Cys-tert-butyl-Thr-Rink-amide-resin(SEQ ID NO: 39)
Rink amide MBHA polystyrene resin (0.063 mmole) [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydrylamine resin, 100-200 mesh, Novabiochem, San Diego, CA] was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in DMF for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF

was added and mixed for 2 minutes. The resin was filtered and again an excess amount of 20% piperidine added and mixed for 20 minutes to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Thr(tBut) (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin which was mixed (1 h) followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-S-trityl-L-cysteine, Fmoc-0-t-butyl-L-threonine,N"-Fmoc-N'-Boc-L-lysine,N°-Fmoc-N'"-Boc-D-tryptophan, Fmoc-L-phenylalanine, Fmoc-S-trityl-L-cysteine, Fmoc-O-t-butyl-D-serine, Fmoc-0-t-butyl-D-tyrosine, N°-Fmoc-Norleucine, Fmoc-0-t-butyl-D-serine, Bromoacetic acid. After completion of bromoacetic acid coupling to peptidyl resin, (3 eq) N-Boc-ethylenediamine was added in NMP and mixed for two hours then washed 3 times with DMF and 3 times with DCM. Combretastatin chloroformate from EXAMPLE 1 was added to the resin and mixed overnight, washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 12 Preparation of combretastatm-carbonyl-N-(2-aminoethyl)-glycine-D-Ser-Nle-D-Tyr-D-Ser-cyclo[Cys-Phe-D-Trp-Lys-Thr-CysJ-Thr-amide (SEQIDNO: 40)
The combretastatin-peptide resin prepared in Example 11 (0.063 mmol) was placed in a round bottomed flask to which was added 15 mL of a solution of trifluoroacetic acid (TFA) containing water (2.5%), 1,2-ethanedithiol (2.5%), and triisopropylsilane (1%). The suspension was agitated (2 h), filtered and washed several times with TFA. The TFA was evaporated in vacuo and ether added to the resulting oil to give a white powder that was then dissolved in 60% acetic acid (250 mL). A concentrated solution of iodine in methanol was added dropwise with vigorous stirring until a permanent brown coloration was formed whereupon excess iodine was removed by addition of a small quantity of ascorbic acid.

The solution was reduced to a volume of around 10 mL in vacuo and the crude camptothecin peptide purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 'm). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TEA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fractions containing the pure product as evidenced by analytical HPLC were pooled, concentrated in vacuo and subjected to lyophilization. The peptide was obtained as a fluffy white powder of constant weight by lyophilization from aqueous acetic acid. Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.
EXAMPLE 13 Preparation of Camptothecin-carbonyl-N-(N-methyl-2-aminoethyl)-glycine-D-tert-butyl-Ser-Norleucine-D-tert-butyl-Tyr-D-tert-butyl-Ser-S-trityl-Cys-Phe-D-Trp-epsilon-tert-butyloxycarbonyl-Lys-tert-butyl-Thr-S-trityl-Cys-tert-butyl-Thr-Rink-amide-resin (SEQ ID NO: 39)
Rink amide MBHA polystyrene resin (0.063 mmol) [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydrylamine resin, 100-200 mesh, Novabiochem, San Diego, CA] was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in DMF for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed for 2 minutes. The resin was filtered and again an excess amount of 20% piperidine added and mixed for 20 minutes to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Thr(tBut) (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin which was mixed (1 h) followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-S-trityl-L-cysteine,

Fmoc-0-t-butyl-L-threonine,N"-Fmoc-N'-Boc-L-lysine,N"-Fmoc-N'"-Boc-D-tryptophan, Fmoc-L-phenylalanine, Fmoc-S-trityl-L-cysteine, Fmoc-O-t-butyl-D-serine, Fmoc-0-t-butyl-D-tyrosine, N°-Fmoc-Norleucine, Fmoc-O-t-butyl-D-serine, Bromoacetic acid. After completion of bromoacetic acid coupling to peptidyl resin, (3 eq) N-Boc-N-methylethylenediamine was added in >fMP and mixed for two hours then washed 3 times with DMF and 3 times with DCM. Camptothecin chloroformate from EXAMPLE 1 was added to the resin and mixed overnight, washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 14 Preparation of camptothecin-carbonyl-N-(N-methyl-2-aminoethyl)-gfycine-D-Ser-Nle-D-Tyr-D-Ser-cyclo[Cys-Phe-D-Trp-Lys-Thr-Cys]-Thr-amide (SEQ ID NO: 40)
The camptothecin-peptide resin prepared in EXAMPLE 13 (0.063 mmol) was placed in a RB flask to which was added 15 mL of a solution of trifluoroacetic acid (TFA) containing water (2.5%), 1,2-ethanedithiol (2.5%), and triisopropylsilane (1%). The suspension was agitated (2 h), filtered and washed several times with TFA. The TFA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder that was then dissolved in 60% acetic acid (250 mL). A concentrated solution of iodine in methanol was added dropwise with vigorous stirring until a permanent brown coloration was formed whereupon excess iodine was removed by addition of a small quantity of ascorbic acid.
The solution was reduced to a volume of around 10 mL in vacuo and the crude camptothecin peptide purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 jAm). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TFA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation weis monitored at 280 nm. The fractions containing the pure product as evidenced by analytical HPLC were pooled, concentrated in vacuo and subjected to lyophilization. The peptide was obtained as a fluffy yellow powder of constant weight by lyophilization from aqueous acetic acid.

Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.
EXAMPLE 15 di-tert-butyloxycarbonyl-His-Leu-Gln-Ile-Gln-Pro-tert-butyloxycarbonyl-Trp-tert-butyl-Tyr-Pro-Gln-Ile-tert-butyl-Ser-N-e-camptothecin-carbonyl-N-(N-2-ammoethyl)-glycine-Lys-tert-butyl-Ser-Rink-amide-resin (SEQ ID NO: 20)
Rink amide MBHA polystyrene resin (0.063 mmol) resin, 100-200 mesh, Novabiochem, San Diego, CA) was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in DMF for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed for 2 minutes. The resin was filtered and again an excess amount of 20% piperidine added and mixed for 20 minutes to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Serine(tBut) (0.188 mmol), diisopropylcarbodiimide (DIG) (0.188 mmol), and N-hydroxybenzotriazoIe monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin which was mixed (1 h) followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-N-e-l(4,4-dimethyl-2,6-dioxocyclohex-1 -ylidene)3-3methyl-butyl-L-Lysine, Fmoc-O-t-butyl-L-Serine, N°-Fmoc- -L-Isoleucine, N-Fmoc-L-Glutamine, N-Fmoc-L-Proline, N-Fmoc-0-Trityl-L-Tyrosine, N°-Fmoc-N'"-Boc-L-tryptophan, N-Fmoc-L-Proline, N-Fmoc-L-Glutamine, N°-Fmoc- -L-Isoleucine, N-Fmoc-L-Glutamine, N°-Fmoc-Leucine, Boc-O-t-butyl-L-Histidine.
The protected peptide resin was then treated 3 times (3 min each) with a 2% solution of hydrazine hydrate in DMF in order to remove the N-e-l-(4,4-dimethyl-2,6-dioxocyclohex-l-ylidene)3-methyl-butyl (ivDde) group on the lysine residue. The free e-amino group was then coupled with bromoacetic acid followed by addition of N-Boc-N-ethylenediamine (3 eq, 12 h) in NMP. Camptothecin chloroformate from EXAMPLE 1 was added to the resin and mixed overnight, washed with copious amounts of DMF

followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 16 Preparation ofCamptothecin Derivative of Phage Peptide pl47: His-Leu-Gln-Ile-Gln-Pro-Trp-Tyr-Pro-Gln-Ile-Ser-N-e-camptothecin-carbonyl-N-(N-2-aminoethyl)-glycine-Lys-Ser-NH2 (SEQIDNO: 20)
The camptothecin-peptide resin prepared in EXAMPLE 15 (0.063 mmol) was placed in a RB flask to which was added 15 mL of a solution of trifluoroacetic acid (TFA) containing water (2.5%), 1,2-ethanedithiol (2.5%), and triisopropylsilane (1%). The suspension was agitated (5 h), filtered and washed several times with TFA. The TFA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder which was purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 'm). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TFA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fractions containing the pure product as evidenced by analytical HPLC were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a flufiy yellow powder of constant weight by lyophilization from aqueous acetic acid. Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.
EXAMPLE 17 Preparation ofN-carboxyanhydride of 0-t-butyl-D,L-serine
0-t-butyl-D-serine (0.0062 mol) and 0-t-butyl-L-serine (0.0062 mol) were suspended in 55 mL anhydrous tetrahydrofuran (THF) under nitrogen atmosphere. Phosgene (0.025 mol) was added to suspension and the suspension was refluxed for 15 minutes. Solvent and excess phosgene were evaporated and the resulting oil was dissolved in 10 mL THF then added to 600 mL Hexanes and crystallized at -20°C.

EXAMPLE 18 Preparation ofCamptothecin-carbonyl-N-(2-aminoethyl)-glycme-[D or L O-tert-butyl-Ser]'is-D-tert-butyl-Ser-Norleucine-D-tert-butyl-Tyr-D-tert-butyl-Ser-S-trityl-Cys-Phe-D-Trp-epsilon-tert-butyloxycarbonyl-Lys-tert-butyl-Thr-S-trityl-Cys-tert-butyl-Thr-Rink-amide-resin (SEQ ID NO: 21, and SEQ ID NO: 23-SEQ ID NO 36)
Rink amide MBHA polystyrene resin (0.063 mmol) [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydrylamine resin, 100-200 mesh, Novabiochem, San Diego, CA] was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in DMF for approximately 1 hour. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed for 2 minutes. The resin was filtered and again an excess amount of 20% piperidine added and mixed for 20 minutes to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-Thr(tBut) (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF and added to the resin which was mixed (1 h) followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, the following amino acids were successively reacted with the growing peptide chain: Fmoc-S-trityl-L-cysteine, Fmoc-0-t-butyl-L-threonine,N"-Fmoc-N'-Boc-L-lysine,N"-Fmoc-N'"-Boc-D-tryptophan, Fmoc-L-phenylalanine, Fmoc-S-trityl-L-cysteine, Fmoc-O-t-butyl-D-serine, Fmoc-0-t-butyl-D-tyrosine, N°-Fmoc-Norleucine, Fmoc-O-t-butyl-D-serine. At this point the N-terminal Fmoc group was removed, the resin washed several times with DMF, then the resin was transferred to a 100 mL RB flask. 0-tert-butyl-Serine NCA (1.5g) was dissolved in anhydrous DMF and added to the peptidyl resin and the suspened resin was shaken overnight at 40 °C. The resin was filtered and washed several times with DMF then placed back on the CS Bio synthesizer. Bromoacetic acid was then coupled to the N-terminal serine in DCM/DIC. After completion of Bromoacetic acid coupling to peptidyl resin, (3 eq) N-Boc-ethylenediamine was added in NMP and mixed for two hours then washed 3 times with DMF and 3 times with DCM. Camptothecin chloroformate from EXAMPLE 1 was added to the resin and

mixed overnight, washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 19 Preparation of camptothecin-carbonyl-N-(2-aminoethyl)-glycme-[Poly-D,L-Ser]-D-Ser-Nle-D-Tyr-D-Ser-cyclo[Cys-Phe-D-Trp-Lys-Thr-Cys]-Thr-amide (SEQ ID NO: 22)
The camptothecin-peptide resin prepared in EXAMPLE 18 (0.063 mmol) was placed in a RB flask to which was added 15 mL of a solution of trifluoroacetic acid (TEA) containing water (2.5%), 1,2-ethanedithiol (2.5%), and triisopropylsilane (1%). The suspension was agitated (2 h), filtered, and washed several times with TEA. The TEA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder that was then dissolved in 60% acetic acid (250 mL). A concentrated solution of iodine in methanol was added dropwise with vigorous stirring until a permanent brown coloration was formed whereupon excess iodine was removed by addition of a small quantity of ascorbic acid.
The solution was reduced to a volume of around 10 mL in vacuo and the crude camptothecin peptide purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 fim). A linear gradient elution system at a flow rate of 20 mL/min was employed: buffer A consisted of 0.1% TEA and buffer B, 0.1% TEA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fractions containing the pure product as evidenced by analytical HPLC were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a fluffy yellow powder of constant weight by lyophilization from aqueous acetic acid. Correct composition was demonstrated by amino acid analysis of an acid hydrolysate and matrix assisted laser desorption mass spectrometry.

EXAMPLE 20 In Vivo and In Vitro Use of Conjugate Carbamate Compounds
Conjugate compounds with a carbamate linker were tested in vitro and in vivo for release rate of the cytotoxic agent. A carbamate linker was chosen because it is reasonably stable in plasma compared, for example, to commonly used ester-type linkages. We also tested carbamate compounds containing an intramolecular cyclic moiety that allows adjustment of the release rate of the alcoholic component of the carbamate culminating in the release of an attached alcohol derivative and formation of a cyclic urea which can be utilized to control release rates of suitable cytotoxins (Fig.l). It is known that the pKa value of the leaving alcohol of a carbamate is important for the stability of the prodrug, therefore, we chose two different chemically suitable cytotoxic agents each containing one hydroxyl group with signicantly different pKa values. One cytotoxic agent was the topoisomerase I inhibitor, camptothecin, which bears a tertiary hydroxyl group in ring position 20 (Fig. 1) with a pKa of approximately 18. The other cytotoxic agent was the tubulin-binding agent, combretastatin, which has one phenolic hydroxyl group attached to an aromatic ring, thus exhibiting a much lower pKa value of approximately 10.3.
All peptide conjugates shown in Table 1 were synthesized totally on Rink amide resin support using the standard FMOC (9-fluorenylmethoxycarbonyl) protection/deprotection strategy employing simple DIC couplings and HBTU activation as a second step only if a Kaiser test was positive (as described above). Once the peptide portion of the conjugate was complete, bromoacetic acid was coupled to the N-terminus using DIC/DCM. After washing the resin, a 5 M excess of N-BOC-ethylenediamine (or the appropriate protected diamine) in NMP was added and mixed for 1 h. Seperately, camptothecin (200 mg; Aldrich) and DMAP (400 mg) in anhydrous DCM (40 mL) were mixed and cooled to 0°C. To this suspension was added 20% phosgene in toluene (600 uL) and the mixture was allowed to react for about 45 min. After solvent evaporation, the powder was suspended in DCM (40 mL) and added to the peptidyl resin bearing the free secondary amine and allowed to react overnight followed by washing several times with DMF, DCM, and methanol. The peptide was then cleaved from the resin for 2 h using the standard acid mixture TFA:H20:EDT:TIS, 95:2:2:1. After cleavage, the conjugate was precipitated 4 times in ethyl ether, dissolved

in 60% HOAC, and cyclized with iodine in methanol. It was then subjected to preparative chromatography and characterized by MS and amino acid analysis. All peptides were obtained in at least 90+% purity and yields were around 35% theoretical. Full retention of conjugate agonists potencies relative to somatostatin itself was demonstrated by their ability to inhibit gonadotropin releasing hormone (GNRH)-stimulated GH release from monolayer cultures of rat pituitary cells, an assay system that has been shown to correlate well with binding affiiity to the human type 2 somatostatin receptor (see, e.g., Raynor et al., Mol. Pharmacol. 43:838, 1993). Inhibitory potencies (ICSO's) of the conjugates shown in Table 2 ranged from 0.26 to 0.49 nM compared to 0.63 nM for somatostatin-14 itself This retention of full affinity is due to the employment of the N-terminal Nle-d-Tyr-d-Ser tripeptide extension of the cyclic somaostatin portion of the conjugate that we have found generally allows large groups to be attached with little to no loss of affinity.

Table 2: Agonist activity, cytotoxicity,and buffer and serum half-life of compounds 1 -6 and control compounds
Compounds Cytotoxicity IC50, nM° Half Life Phosphate Half-Life Rat Growth Hormone Inhibition
IMR-32 Cells Buffer (Hours) Serum (Hours) IC,„, nM"
1 374 ±18 Stable' 106 0.32 ± 0.02
2 54.2 ±6 123 18 0.27 ± 0.02
3 571 ± 48 Stable 59 0.30 ±0.04
4 >1000 stable 72 0.26 ±0.03
5 >1000 na na 0.49 ±0.1
6 2.79 ±0.33 31 4 0.31 ±0.1
Camptothecin 2.21 ± 0.44 na na na
Combretastatin 4.36 na na na
SRIF(1-14) na" na 2-5 minutes 0.63 ± 0.029
* Experiment carried out for 50 h.
' Somtostatin analogues were non-toxic to IMR32 cells at up to 10"' M concentrations.
Each peptide conjugate was subjected to phosphate buffer and rat serum stability studies. The analogues were incubated in either 0.1 M phosphate buffer or fresh rat serum at 37°C and aliquots were taken at different time points and examined by HPLC. Compounds 1,3 , and 4 showed complete buffer stability for the length of the experiment (50 h; Table 2). Compound 2 was less stable in buffer with a half-life of around 120 h, while compound 6 was the least stable with a half-life of only 30 h in buffer. In rat serum, this same trend was evident, except that there was clearly a catabolic effect of serum on the stability of the compounds. Compounds 1,3, and 4 were again the most stable, while compound 2's half-life was 18 h and combretastatin compound 6, which contains the phenolic hydroxyl, was least stable with a 4 h half-life.
The cytotoxic activities of these conjugates were measured using a standard MTT assay kit (Promega Corporation, Madison, WI). Each compound was incubated for 3 days with human neuroblastoma IMR32 cells (somatostatin receptor overexpression) at different concentrations in quadruplate and ICSO's were generated from the dose-response curves (Fig.2). Although the combretastatin-ethlylenediamine BINAR compound 6 was the most cytotoxic, after reviewing the stability data in buffer, it is evident that 50% of this conjugate is free cytoxin after 3 days and perhaps more since cell media will contain some enzymes. The N-Me-ethylenediamine camptothecin conjugate 2 was the second most potent. After 3 days, more than 80% of this conjugate was still intact. The next most potent was the ethlylenediamine compound 1. This analogue demonstrated complete stability in phosphate buffer, but was seven times less potent than compound 2 and slightly more active than compound 3 even though it was

more stable in serum. This property is likely due to compound 1 's ability to form a cyclic urea while compound 3 is unable to form this same species.
In preliminary tumor bearing animal studies, compounds 1 and 2 appear to be equally effective at inducing a cytotoxic effect in the tumor after repeated intraperitoneal administration. Compounds based on N,N-dimethyethylenediamine, diaminopropyl, and 2-hydroxyethylamine BINAR groups (Fig.2; Table 2) were essentially inactive presumably due to lack of release of any free cytotoxic agent intra- or extracellularly. The lead camptothecin conjugate 2 was able to significantly stabilize the growth of transplanted NCI-H69 small cell lung carcinomas (expression of SSTR2) in nude mice at doses far below the maximum tolerated equivalent doses of camptothecin alone. The data suggest not only a chemical component to the release rate of the alcohol but also some enzymatic component.
The value of the BINAR linking strategy lies both in its ability to be adjusted to accommodate ideal release rates for various types of alcohol containing groups and its ease of incorporation onto a peptide free amino group by simple solid-phase chemistries. The chemistry for introducing the groups is well suited for solid phase synthesis and is easily adapted for many different peptides, therapeutic agents, and cytotoxins. Although this strategy is readily applied to the N-terminus, it can also be applied to an orthogonally protected side chain as well should this be necessary for preservation of peptide binding affinity. With the present camptothecin conjugates, high cytotoxicity was achieved with compounds 1 and 2 (Fig.2; Table 2) even though they were very stable to cell media incubation conditions. High concentrations of intact peptide conjugate will be specifically bound to tumor cells whereupon internalization would take place. Furthermore, the conjugates are highly soluble and tissue clearance rates and routes can be readily further adjusted by altering the hydrophilicity of the peptide component, as described above. If the peptide conjugate remains reasonably intact during clearance, then toxic side effects should be much reduced.

EXAMPLE 21 Preparation of Camptothecin-carbonyl-N-arnmoethyl-glycme-S-trityl-Cys-Rink-amide-resin
Rink amide [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydrylamine resin (0.063 mmole), 100-200 mesh (Novabiochem, San Diego, CA) was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in dimethylformamide (DMF) for approximately 1 h. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed (2 min). The resin was filtered and again an excess amount of 20% piperidine added and mixed (20 min) to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-S-trityl-L-cysteine (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF/DCM and added to the resin, which was mixed for 1 h, followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, Fmoc-N-(2-Boc-aminoethyl)glycine (Neosystem) was added. The Fmoc group was removed and the peptidyl resin washed several times with DCM. Camptothecin chloroformate from EXAMPLE 1 was added to the resin and mixed overnight, then washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
Preparation of camptothecin-carhonyl-N-(2-aminoethyl)-glycine-Cys-amide
The camptothecin-peptide resin prepared in EXAMPLE 21 (0.063 mmol) was placed in a round bottomed flask to which was added 15 mL of a solution of trifluoroacetic acid (TFA) containing water (2.5%), 1,2-ethanedithiol (2.5%), and triisopropylsilane (1%). The suspension was agitated (2 h), filtered, and washed several times with TFA. The TFA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder that was then dissolved in 60% acetic acid (15 mL).

The crude camptothecin peptide was purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 fjm). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TFA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fractions containing the pure product, as identified by analytical HPLC, were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a fluffy yellow powder of constant weight by lyophilization from aqueous acetic acid. Correct composition, as shown below, was demonstrated by matrix assisted laser desorption mass spectrometry.

EXAMPLE 23 Preparation of Camptothecin-carbonyl-N-aminoethyl-glycme-Phe(benzophenone)-amide-resin
Rink amide [4-(2',4'-dimethoxyphenyl-Fmoc-(aminomethyl)phenoxyacetamido-norleucyl-methylbenzhydrylamine resin (0.063 mmole), 100-200 mesh (Novabiochem, San Diego, CA) was added to the reaction vessel of a CS136 automatic peptide synthesizer (CS Bio, Inc., San Carlos, CA) and swollen in dimethylformamide (DMF) for approximately 1 h. The resin was filtered and an excess of 20% piperidine in DMF was added and mixed (2 min). The resin was filtered and again an excess amount of 20% piperidine added and mixed (20 min) to ensure complete removal of the resin Fmoc group. After deprotection, the resin was washed 4 times with DMF and then the first protected amino acid, Fmoc-L-p-benzoyl-Phenylalanine (0.188 mmol), diisopropylcarbodiimide (DIC) (0.188 mmol), and N-hydroxybenzotriazole

monohydrate (HOBt) (0.188 mmol) were all dissolved in DMF/DCM and added to the resin, which was mixed for 1 h, followed by washing 4 times with DMF.
The Fmoc group was again removed by treatment with 20% piperidine/DMF solution and, following the same general coupling procedures, Fmoc-N-(2-Boc-aminoethyl)glycine (Neosystem) was added. The Fmoc group was removed and the peptidyl resin washed several times with DCM. Camptothecin chloroformate fi-om EXAMPLE 1 was added to the resin and mixed overnight, then washed with copious amounts of DMF followed by methanol. After a final filtration the derivatized resin was air dried overnight.
EXAMPLE 24 Preparation of camptothecin-carbonyl-N-(2-aminoethyl)-glycme-p-Bemoyl-phenylalanine-amide
The camptothecin-peptide resin prepared in EXAMPLE 23 (0.063 mmol) was placed in a round bottomed flask to which was added 15 mL of a solution of trifluoroacetic acid (TFA) containing water (2.5%), and triisopropylsilane (1%). The suspension was agitated for 2 h, flltered, and washed several times with TFA. The TFA was evaporated in vacuo and ether added to the resulting oil to give a yellow powder that was then dissolved in 60% acetic acid (15 mL).
The crude camptothecin peptide was purified by preparative reverse phase high pressure liquid chromatography (RP-HPLC) on a column (21.4 x 250 mm) of C-18 bonded silica (Dynamax 300, 8 |im). A linear gradient elution system at a flow rat of 20 mL/min was employed: buffer A consisted of 0.1% TFA and buffer B, 0.1% TFA in 80% MeCN; 20% B to 50% B was increased at 1% per min. The separation was monitored at 280 nm. The fractions containing the pure product, as identified by analytical HPLC, were pooled, concentrated in vacuo, and subjected to lyophilization. The peptide was obtained as a fluffy yellow powder of constant weight by lyophilization from aqueous acetic acid. Correct composition, as shown below, was demonstrated by matrix assisted laser desorption mass spectrometry.

Other Embodiments
Although the present invention has been described with reference to preferred embodiments, one skilled in the art can easily ascertain its essential characteristics and without departing from the spirit and scope thereof, can make various changes and modifications of the invention to adapt it to various usages and conditions. Those skilled in the art will recognize or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed in the scope of the present invention.
All publications and patent applications mentioned in this specification are herein incorporated by reference to the same extent as if each independent publication or patent application was specifically and individually indicated to be incorporated by reference.

"S

WE CLAIM:
1. A conjugate compound represented by the following formula:

wherein;
X is a cytotoxic agent or therapeutic agent;
n is an integer from 0 to 6, wherein (CH2)n is an alkyl or a cyclic group;
R is N(R|R2), OR], or Sj, wherein R and R2 are, independently, hydrogen or a
straight or branched chain Cit. alkyl group;
Y is a hydrophilic spacer sequence selected from the group consisting of a peptide that
increases the hydrophilic biodistribution of said compound and a hydrophilic polymer,
or is omitted;
Z is a linking peptide that, when bonded to Q at the N-terminus or at a compatible
side-chain amino group of Q, preserves at least 50% of the biological activity of Q, Z
having the formula:
A-B-C-E-F, wherein;
A is D-Lys, D-Tyr, D-Ser, or L-Ser, or is deleted;
B is D-Lys or D-Tyr, or is deleted;
C is Lys, Ser, hSer, Thr, Nle, Abu, Nva, (2, 3, or 4) 3-pyridyl-Ala (Pal), Orn, Dab,
Dap, 4-NH2-Phe, D-4-OH-Pro, or L-4-OH-Pro, or is deleted;
E is D-Lys, D-Tyr, D-Ser, D-4-OH-Pro, L-4-OH-Pro, 3-iodo-D-Tyr, 3-5 diiodo-D-
Tyr, 3-astatine-D-Tyr, 3-5 astatine-D-Tyr, 3-bromo-D-Tyr, 3-5 dibromo-D-Tyr, D-
Asn, L-Asn, D-Asp, L-Asp, D-Glu, L-Glu, D-Gln, or L-Gln; and

F is D-Lys, D-Tyr, D-Ser, L-Ser, D-4-OH-Pro, L-4-OH-Pro, 3-iodo-D-Tyr, 3-5 diiodo-D-Tyr, 3-astatine-D-Tyr, 3-5 astatine-D-Tyr, 3-bromo-D-Tyr, 3-5 dibromo-D-Tyr, D-Asn, L-Asn, D-Asp, L-Asp, D-Glu, L-Glu, D-Gln, or L-Gln; provided that when A, B, C, and E are Tyr, Tyr, Lys, and Tyr; respectively, F is not Lys; and when A, B, C, and E, are Lys, Tyr, Lys, and Tyr, respectively, E is not Tyr or Lys; and when A and B are deleted, and C and E are Lys and Tyr, respectively, F is not Tyr or Lys; and Q is a targeting moiety.
2. The compound as claimed in claim 1, wherein X is a cytotoxic agent.
3. The compound as claimed in claim 2, wherein said cytotoxic agent is an alkylating agent, an antibiotic, an antimetabolite, a tubulin inhibitor, a topoisomorase I or II inhibitor, an hormonal agonist or antagonists, an apoptotic agent, or an immunomodulator.
4. The compound as claimed in claim 2, wherein said cytotoxic agent is camptothecin, homocamptothecin, colchicine, combretastatin, dolistatin, doxorubicin, methotrexate, podophyllotoxin, rhizoxin, rhizoxin D, a taxol, paclitaxol, CC1065, a maytansinoid, or derivatives or analogs thereof.
5. The compound as claimed in claim 1, wherein said hydrophilic spacer sequence is a peptide that increases the hydrophilic biodistribution of said compound.
6. The compound as claimed in claim 5, wherein said peptide has the formula U(V-V)n, wherein U is D-Pro, L-Pro, D-4-OH-Pro, L-4-OH-Pro, Sarcosine, Lys, Orn, Dab, Dap, 4-NH2-Phe, or (NH2-(CH2)m-COOH), where m=2-10, inclusive, or is deleted;

each V is independently selected from the group consisting of; D-Ser, L-Ser, D-Thr, L-Thr, D-Gln, L-Gln, D-Asn, L-Asn, D-4-OH-Pro, and L-4 hydroxy-Pro; and n=l-50, inclusive.
7. The compound as claimed in claim 6, wherein at least one V is a D-amino acid.
8. The compound as claimed in claim 6, wherein V is independently D-Ser or L-Ser.
9. The compound as claimed in claim 1, wherein said hydrophilic spacer sequence is a hydrophilic polymer.

opioid antagonist, annexin-V, endothelin, interleukin (IL)-l, IL-lra, IL-2, IL-8, leukotriene B4 (LTB4), a chemotactic peptide, a GP Ilb/IIIa receptor antagonist, epidermal growth factor, a human neutrophil elastase inhibitor, plasmin inhibitor, an antimicrobial peptide, apticide P280, apticide P274, a thrombospondin receptor, bitistatin, pituitary adenylyl cyclase type I receptor (PACl), fibrin a-chain, or derivatives or analogs thereof
13. The compound as claimed in claim 11, wherein said biologically active peptide is an antibody or an antibody fragment.
14. The compound as claimed in claim 12, wherein said leukocyte-avid peptide is P483H, said delta-opioid antagonist is ITIPP(psi), said chemotactic peptide is N-formyl-methionyl-leucyl-phenylalanine-lysine (fMLFK), said GP Ilb/IIIa receptor antagonist is DMP444, said human neutrophil elastase inhibitor is EPI-HNE-2 or EPI-HNE-4, or said thrombospondin receptor is TP-1300.
15. The compound as claimed in claim 11, wherein said biologically-active peptide targets said compound to a cell or tissue in the body of a mammal.
16. The compound as claimed in claim 1, wherein said targeting moiety is a peptide derived from a phage-display library, or conservative substitutions thereof that targets said compound to a cell or tissue in the body of a mammal.
17. The compound as claimed in claim 15 or 16, wherein said cell or tissue comprises a cancer cell, a white blood cell, cardiac tissue, brain tissue, or a tubercle infected with tuberculosis, or wherein said tissue is a tumor or a proliferative angiogenic blood vessel.

24. The compound as claimed in claim 23, wherein R comprises 1 to 8 carbon atoms.
25. The compound as claimed in claim 1, as a medicament.
26. A medicament for treating inflammatory bowel disease, rheumatoid arthritis, acromegaly, tuberculosis, a tumor of the lung, breast, brain, eye, prostate or colon, a tumor of neuroendocrine origin, or angiogenesis that causes inappropriate proliferation of blood vessels comprising a therapeutically effective amount of a conjugate compound as claimed in any one of claims 1 to 24.
27. The medicament as claimed in claim 26, wherein said tumor of neuroendocrine origin is carcinoid syndrome.
28. The medicament as claimed in claim 26, wherein said blood vessels are in the eye.
29. A compound represented by the following formula:
O
•~^y^.-^ '"■
A.
R
wherein;
X is a cytotoxic agent or therapeutic agent;
N is an integer from 0 to 6, wherein (CH2)n is an alkyl or a cyclic group;
R is N(RiR2), OR], or SRj, wherein Ri and R2 are, independently, hydrogen or a
straight or branched chain C].]i alkyl group, and wherein R3 is a NH(CH2)mSH group
and m=2 to 6, D or L cysteine, a benzophenone, or an OH group.

30. The compound as claimed in claim 29, wherein the Ri group can be used to attach a peptide, protein, or antibody to said compound.
31. The compound as claimed in claim 29, wherein R3 is a NH(CH2)mSH group and m=2 to 6, and wherein said peptide, protein or antibody is attached to said compound by a thiol reaction.
32. The compound as claimed in claim 29, wherein Ri is a benzophenone and said peptide, protein, or antibody is attached to said compound by a photochemical reaction.
33. The compound as claimed in claim 32, wherein said benzophenone is p-benzoyl-phenylalanine.
34. The compound as claimed in claim 29, wherein Ri or R2 comprises 1 to 11 carbon atoms.
35. The compound as claimed in claim 34, wherein Rj or R2 comprises 1 to 8 carbon atoms.
36. The compound as claimed in claim 1, wherein X is a cytotoxic agent.
37. The compound as claimed in claim 36, wherein said cytotoxic agent is an
alkylating agent, an antibiotic, an antimetabolite, a tubulin inhibitor, a topoisomorase I
or II inhibitor, an hormonal agonist or antagonists, an apoptotic agent, or an
immunomodulator.

38. The compound as claimed in claim 36, wherein said cytotoxic agent is
camptothecin, homocamptothecin, colchicine, combretastatin, dolistatin, doxorubicin,
methotrexate, podophyllotoxin, rhizoxin, rhizoxin D, a taxol, paclitaxoi, CC1065, a
maytansinoid, or derivatives or analogs thereof.
39. The compound as claimed in claim 29, as a medicament.
40. A medicament for treating inflammatory bowel disease, rheumatoid arthritis,
acromegaly, tuberculosis, a tumor of the lung, breast, brain, eye, prostate or colon, a
tumor of neuroendocrine origin, or angiogenesis that causes inappropriate
proliferation of blood vessels comprising a therapeutically effective amount of a
conjugate compound as claimed in any one of claims 29 to 38.
41. The medicament as claimed in claim 40, wherein said tumor of neuroendocrine origin is carcinoid syndrome.
42. The medicament as claimed in claim 40, wherein said blood vessels are in the eye.